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Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager, Telephonic Nurse 2 work assignments are varied and frequently ... courses of action. Responsibilities..
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... the team with a Senior Nurse Auditor roles! This is a ... The team floats to the work, as assigned, and helps their ... should strongly consider the Senior..
Description The RN Clinical team is looking for ... looking for a dynamic Registered Nurse to join the team working ... to join the team working remote anywhere in the..
... Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the ... team of 20-25 nurses and medical professionals that performs the following ... that performs the following functions:..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for ... for performing clinical audits on medical record documentation for quality and ... support the submitted charges. Comprehensive medical..
... Audit (QA) Risk Management Professional 2-Remote, US in Pittsburgh Pennsylvania Description ... The Risk Management Professional 2 work assignments are varied and frequently ... areas. Makes decisions regarding own..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional ... in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional ... of variable factors. Responsibilities The RN, Senior Stars..
... Information Humana Staff Consultative Pharmacist, Remote TN or PA ONLY in ... therapy. The Staff Consultative Pharmacist work assignments involve moderately complex to ... be transcribed/processed Produces quantity of..
... for performing clinical audits on medical record documentation for quality and ... support the submitted charges. Comprehensive medical reviews will be conducted on ... ACCOUNTABILITIES 95% Quality Monitoring Audits..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in ... in Pittsburgh Pennsylvania Description The Nurse Auditor 2 performs clinical audit/validation ... audit/validation processes to ensure..
... medication cost and utilization and nurse support. Location : Remote USA Travel: Up to 40% ... client and branches (i.e., utilization review calls, clinical education, IDG, etc.) ... utilization..
Description The Nurse Auditor 2 performs clinical audit/validation ... audit/validation processes to ensure that medical record documentation and diagnosis coding ... support optimal reimbursement. Responsibilities The Nurse Auditor 2 validates..
... Program Delivery Professional (Medicaid) - Remote, US in Pittsburgh Pennsylvania Description ... Senior Quality Program Delivery Professional work assignments involve moderately complex to ... quality strategy and implementation approach...
Description The Nurse Auditor 2 performs clinical audit/validation ... audit/validation processes to ensure that medical record documentation and diagnosis coding ... to support optimal reimbursement. The Nurse Auditor 2 work..
... Clinical Strategy and Practice Professional work assignments involve moderately complex to ... guidelines and policies and completing medical necessity review and level of care review for requested services. Educate..
... Information Humana Staff Consultative Pharmacist, Remote PA or TN in Pittsburgh ... therapy. The Staff Consultative Pharmacist work assignments involve moderately complex to ... be transcribed/processed Produces quantity of..
Description The Nurse Auditor 2 will work on the clinical research and ... clinical lab audit concepts. The Nurse Auditor 2 will perform clinical ... and validation processes to ensure..
... - Fri and will be remote Work from home when not travelling. ... home when not travelling. Dialysis medical device and training experience required. ... situation or data requires..
